Wellness Wednesday at PCUL Registration
Take a midweek break to recharge! Join us every Wednesday at noon for an energizing session of chair yoga, meditation, and light bites for lunch. Attend in person or virtually via Zoom. Complete this form to reserve your spot today!
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Is this your first WW event?
*
Yes
No
If no, when did you last attend?
*
What is your zipcode?
How did you hear about this event?
Please Select
PCUL Team Member
Social Media
Friend/Family
Email
Text
Other
How are you participating?
Please Select
In-Person
Virtually (Online)
Do you need a COVID vaccine?
Please Select
Yes
No
Acknowledgment and Consent By signing below, I acknowledge that I am voluntarily participating in "Wellness Wednesday" activities organized by the Pinellas County Urban League. I understand that photographs or video footage may be taken during the event for marketing and social media purposes. I grant permission for my image and likeness to be used in promotional materials without expectation of compensation. Additionally, I release the Pinellas County Urban League and its staff from any liability related to these activities or the use of photographs/videos.
*
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